Coincidence of a Ductal Pancreatic Cyst and a Gastric Duplication Cyst: A Case Report

Abstract

We report a case of two abdominal cystic formations in an 18-month-old girl. Laparotomy was performed with surgical removal of both cysts. The cysts were connected by a fibrous bridge. Histology revealed a gastric duplication cyst and a ductal pancreatic cyst originating from an aberrant pancreatic lobe. No fistula was found either to the alimentary tract or in either of the cysts. The clinical picture and treatment are described and compared to findings in the literature.

gastrointestinal duplication - aberrant pancreatic tissue - pancreatic cyst

References

• 1 Alessandrini P, Derlon S. Gastric duplication communicating with an aberrant pancreas.  Eur J Pediatr Surg. 1991;  1 309-311
• 2 Bentley J F, Smith J R. Developmental posterior enteric remnants and spinal malformations: the split notochord syndrome.  Arch Dis Child. 1960;  35 76-86
• 3 Camoglio F, Forestieri C, Zanatta C. Complete pancreatic ectopia in a gastric duplication cyst: a case report and review of the literature.  Eur J Pediatr Surg. 2002;  14 60-62
• 4 Chawla A, Gadaleta D, Kenigsberg K, Kahn E, Markowitz J. Erosion through the posterior gastric wall by a pancreatic pseudocyst secondary to gastric duplication.  J Pediatr Gastroenterol Nutr. 1991;  13 115-118
• 5 Cloutier R. Pseudocyst of the pancreas secondary to gastric duplication.  J Pediatr Surg. 1973;  8 67
• 6 Faris J C, Crowe J E. The split notochord syndrome.  J Pediatr Surg. 1975;  10 467-472
• 7 Holcomb G W, Gheissari A, O'Neill J A. Surgical management of alimentary tract duplications.  Ann Surg. 1989;  209 167-174
• 8 Ildstad S T, Tollerud D J, Weiss R G. et al . Duplications of the alimentary tract. Clinical characteristics, preferred treatment, and associated malformations.  Ann Surg. 1988;  208 184-189
• 9 Johnson P R, Spitz L. Cysts and tumors of the pancreas.  Semin Pediatr Surg. 2000;  9 209-215
• 10 Larsen W. Development of the gastrointestinal tract. Larsen W Human Embryology. 1st ed. New York, NY; Churchill Livingstone 1993: 205-223
• 11 Louw J H. Congenital intestinal atresia and stenosis in the newborn. Observations on its pathogenesis and treatment.  Ann R Coll Surg Engl. 1959;  25 209-234
• 12 McLetchie N, Purves J, Saunders R. The genesis of gastric and certain intestinal diverticula and enterogenous cysts.  Surg Gyn Obstet. 1954;  92 135-141
• 13 Mellish R W, Koop C E. Clinical manifestations of duplication of the bowel.  Pediatrics. 1961;  27 397-407
• 14 Moss R L, Ryan J A, Kozarek R A, Hatch E I. Pancreatitis caused by a gastric duplication communicating with an aberrant pancreatic lobe.  J Pediatr Surg. 1996;  31 733-736
• 15 Muraoka A, Tsuruno M. A gastric duplication cyst with an aberrant pancreatic ductal system: report of case.  Surg Today. 2002;  32 531-535
• 16 Prasad T R, Gupta S D, Bhatnagar V. Ectopic pancreas associated with a choledochal cyst and extrahepatic biliary atresia.  Pediatr Surg Int. 2001;  17 552-554
• 17 Puligandla P S, Nguyen L T, St-Vil D. et al . Gastrointestinal duplications.  J Pediatr Surg. 2003;  38 740-744
• 18 Schalamon J, Schleef J, Höllwarth M E. Experience with gastro-intestinal duplications in childhood.  Langenbeck's Arch Surg/Deutsche Gesellschaft fur Chirurgie. 2000;  385 402-405
• 19 Spence R K, Schnaufer L, Mahboubi S. Coexistant gastric duplication and accessory pancreas: clinical manifestations, embryogenesis, and treatment.  J Pediatr Surg. 1986;  21 68-70
• 20 Stern L E, Warner B W. Gastrointestinal duplications.  Semin Pediatr Surg. 2000;  9 135-140
• 21 Wrenn E. Alimentary tract duplications. Ashcraft K Pediatric Surgery. 3rd ed. Philadelphia, PA; Saunders 2000: 527-539